Guidelines for Visitors

We know visitors can be good medicine for patients. Family members and friends are
welcome to visit; however, patient care is our primary concern. We ask that you follow these
regulations established to maintain a peaceful, healing environment for our patients:

All visitors must provide a valid form of picture identification at the reception desk in the
main lobby.
All visitors to patient rooms must be at least 15 years of age. Some exceptions apply to
Womens Services and Neonatal Unit visitors. In certain situations, a patient may leave
the floor to visit children in the Level 1 waiting areas. If you wish to make such
arrangements please talk with your nurse.
No more than two visitors should be in the patient's room at one time. Visitors to semiprivate rooms should be considerate of both patients.
People with colds, sore throats or any contagious diseases should not visit patients.
Visits should be kept short.
To maintain a quiet environment, visitors should avoid creating unnecessary noise.
Visitors are asked to observe quiet times daily from 2p.m. to 4p.m. and after 9p.m. These
especially quiet times give our patients even more opportunity to rest and recover.
Visitors may be asked to leave the room when the doctor or nurse needs to see the
patient.
Visitors should ask before giving gifts of food or beverages since many patients have
special or restricted diets.
Plants and flowers are not permitted in the critical care units.
In order to protect confidential patient information and privacy rights of hospital staff,
patient and visitor use of recording devices such as cameras (including cell phone
cameras), video recorders, audio recorders or any other type of equipment used to capture
or record images and/or sound is prohibited. Some exceptions apply on the Womens
Services Unit and the Neonatal Intensive Care Unit (please see the Child Birth packet for

specifics). Please respect the privacy of others and speak to the GW Hospital Patient
Advocate at 202-715-4195 if you have any concerns.
HOSPITAL VISITING HOURS

The visiting hours for general, medical and surgical units are from 8:00 a.m. 10 p.m.
ICU visiting hours are from 8:30 a.m. 6:45 p.m. and 7:45 10 p.m.
Please note that specific units may have different visiting hours. If you need additional
information, please check with the nurse on the unit.

Condition Reports
Any personal information about a patients diagnosis and treatment must come from the patients
physician, and this information is available only to designated members of the patients family or
those designated by the patient.

Waiting Areas
There are designated lounge areas for visitors on each patient floor. Specific waiting areas have
been designated for families and friends of patients in the critical care units, the Emergency
Department and surgery ont he first floor.

Out-of-Town Visitors
Accommodations for out-of-town visitors are available at nearby hotels. The hospital has
preferred rates with several area hotels. View a list of area hotels >

Smoke-Free Environment
Because of the hospitals interest in good health, and in accordance with local laws, The George
Washington University Hospital is a smoke-free environment. For this reason, smoking is
prohibited in the hospital, outside our entrances and on our property.

Cafeteria
Located on the Lobby Level, the cafeteria is open 7 days a week for service as follows:
Weekdays
Breakfast 6:30 9:30 a.m.
Lunch 11 a.m. 2 p.m.
Afternoon Service 2 4 p.m.
Dinner 4 7 p.m.
Evening Service 7 11 p.m.
Weekends/Holidays

Breakfast 7 9:30 a.m.

Lunch 11 a.m. 2 p.m.
Afternoon Service 2 4 p.m.
Dinner 4 7 p.m.
Evening Service 7 11 p.m.
Starbucks Coffee
Located in the cafeteria. 24-hour service from 7 a.m. Sunday through 8 p.m. Friday. Re-opens Saturday 7 a.m.
8 p.m.

Vending
Vending machines are located in the cafeteria, Emergency Room waiting area and visitors
lounges on the third, fourth and fifth floors.
Find
a Doctor
When you need to find a doctor for yourself or your family, our FREE Direct Doctors Plus
physician referral service can help.

888-4GW-DOCS
1-888-449-3627
VISIT DIRECT DOCTORS PLUS
Area
Hotels
View a list of area hotels if you need overnight accommodations >
Hospital
Visiting Hours
The visiting hours for general, medical and surgical units are from 8am-10pm. ICU visiting
hours are from 8:30am-6:45pm and 7:45pm-10pm. Please note that specific units may have
different visiting hours.

Visiting Guidelines
Are you visiting...

Someone in hospital?
Somone in Critical Care?
Someone in labour?

A high-risk pregnant patient?

A mother & baby?
Someone at St. John's Rehab?

General Guidelines for all Visitors

Two visitors per patient each day are permitted by our visitor guidelines.
Please coordinate your visits with other family members & friends to ensure your loved ones
have a healthy care environment.
In cases when this is not possible, please use the available spaces in the waiting areas to avoid
over crowding the patient care areas.
Visitors may be asked to leave for medical procedures or treatments
Children must be accompanied by an adult, and should be approved by the Patient Care Unit
before visiting
Hand washing is very important. During your visit please use the hand-wash provided at the
'Stop - Squirt - Go' stations located throughout the hospital.

Washing Your Hands

Hand washing is very important, and is the single most effective way of preventing illness from
one person to another. During your visit please use the alchol based hand-sanitizer provided at
the hand cleaning stations located throughout the hospital.
Learn more about Infection Prevention & Control

Stop! We ask that you do not visit if you have any of the following symptoms:

Vomiting
Diarrhea
Symptoms of acute respiratory tract infection including cough, sore throat, runny nose and/or
fever
Fever within the last 24 hours
Conjuctivitis (eye infection or pink eye)
Chicken pox, shingles, measles or mumps
Infectious rashes or any possibility of a communicable disease

If you are suffering from any of these symptoms please see your doctor and/or delay your visit
until the symptoms have gone.
If you have questions or concerns about any of the above, please discuss them with the staff
caring for the patient or resident or contact Infection Prevention & Control.

Visiting a patient in Critical Care

Family members should check in with a volunteer in the waiting room. In the absence of a
volunteer, please call the unit.

Visiting someone in labour

A woman's partner and one additional support person (doula, friend, etc.) are encouraged to be
in attendance, and are not considered visitors. Additional support people are only permitted if
approved ahead of time.
The waiting area in the Labour & Delivery unit is not for visitors' use.

Visiting a pregnant patient in the High Risk Unit

A woman's partner is encouraged to be on the unit at any time between 8am and 11pm
Two visitors per patient at at time, in addition to the partner.
Siblings of the new baby are welcome, accompanied by the partner.
Visitors are requested to self-screen for illness

Visiting a new mother & baby

A woman's partner/ support person is encouraged to be on the unit at any time

Only one support person may be on the unit at one time. Both the partner and this individual
will receive wristbands identifying them as essential to the woman's and infant's care and
support.
Two visitors per patient at at time, in addition to the partner/support person
Siblings of the new baby are welcome, accompanied by the partner/support person, and
encouraged during visiting hours
Visitors are requested to self-screen for illness

Visting a patient at St. John's Rehab

Pet visits must be pre-approved and a form must be filled out by your health care provider
before the visit. During the visit, pets must be leashed or in a carrier.
Patient treatment takes priority over visitors. Visitation should be scheduled outside of therapy
times.

Visiting Hours &

Guidelines
Best Visiting Hours
Our recommended visiting hours are between 9:00 a.m. and 9:00 p.m. This ensures that everyone
can get enough sleep. Between 9:00 p.m. and 7:00 a.m., on units where there is enough room,
you may stay if you are a support person and the patient wants you to stay.
Visiting Hours
Visitors can play an important role in supporting patient well-being and facilitating re-entry back
into the community. California Hospital staff will collaborate with visitors to maintain an
environment that supports the safety, comfort, health and well being of patients and others in the
Hospital.
We encourage you to have family members and friends visit you during your stay with us.
However, patient care is our primary concern at California Hospital Medical Center and in order
to enhance the quality of care, specific visiting hours and regulations have been established for
each unit. Please follow these guidelines. If you need additional information, please check with
the nurse on the unit.
Condition Reports
Any personal information about your diagnosis and treatment must come from your physician,
and this information is only available to those members of your immediate family who you
designate to receive it.
Sign In at the Security Desk
Sign in at either one of our security desks during the day, with your name and the name of the
patient you are visiting. We have a security desk in the lobby on the side of the building near
Grand Avenue. The other one is near the Emergency Department on Hope Street. You must use
the Hope Street entrance between 9:00 p.m. and 7:00 a.m.
Visiting Guidelines

All visitors must check in at the Information Desk to obtain a visitor's badge. Visitor
badges must be worn at all times while inside the hospital. Wear the guest badge above
your waist.
You may not smoke inside the hospital. Outdoors you may only smoke in the smoking
area off the patio.
Animals are not allowed in the hospital except service animals.
Do not go into any patients room except the room of the person you are visiting.
Do not go into any private area.
Do not give any food or drinks to a patient without checking with the nurse to be sure it is
all right. Many of our patients are on special diets and the wrong food could make them
sicker.
Do not use the patients restroom or sit on a patients bed, even an unused one.

Visitation Guidelines for Children

Children may visit you, although there may be some rules about how old they must be. Please
ask your nurse about the rules on your unit. Make sure children are not sick when they visit. Also
make sure they have not been around someone else who is sick. An adult must watch over any
child who visits at all times. The adult must be someone other than you, if you are a patient.
Children who are visiting must be quiet, so patients can rest and enjoy their time with their
families. Children must not wander or run around. This could be unsafe and bother other patients
or families. Children who are not able to be quiet and calm at the hospital should not visit. If a
child visitor begins crying, screaming or running around, please take the child outside until he or
she is quiet and calm.
Visiting a Critical-Care Unit
To visit a patient in a critical care unit, push the button on the speaker box outside the unit and
speak with a staff member to find out whether it is a good time to visit. Our critical care
department includes the Critical Care Unit (CCU), Intensive Care Unit (ICU), Trauma Intensive
Care unit (TICU) and Surgical Intensive Care Unit (SICU).
Our Child-Life Specialist or Social Worker can help prepare a child for a visit to a critical-care
unit. We encourage parents and their children to speak with one of these experts.
Do not bring flowers, balloons or any food or drinks into a critical-care unit.
Intensive Care Units
Visitors are only allowed in patient rooms for ten minutes out of every hour.
Neonatal Intensive Care Unit (NICU)
Visitors will use the intercom outside the NICU in order to identify themselves prior to entering.
Visitors are required to scrub for three minutes on entering the unit prior to going to the infant's
bedside.
Visitors will be encouraged to participate in the basic care of in the infant when appropriate.
Two visitors will be allowed at the bedside. One of the visitors must be the mother, father, or
significant other.
Siblings over the age of three may visit. Siblings must have documented up to date immunization
records, and no visitors showing signs or symptoms of illness will be allowed to visit.
Postpartum Unit
The baby's father or mother's support person may visit anytime. Grandparents and siblings are
welcome to visit throughout the day until 9:00 pm.
A responsible adult, other than the child's mother, must always remain with any sibling under 16
years of age.

All other visitors over 16 years of age are welcome to visit between 3:00 pm and 8:00 pm.
The mother's permission and good hand washing are necessary before any visitor handles any
baby. In order to protect the general well-being of the mother and baby, it may be necessary from
time to time to request that the visitors leave.
Visitors are limited to immediate family or others specified by name by the attending physician
or patient and there are to be no more than two persons at any time.

Pencegahan dan Pengendalian Infeksi

Jumat, 08 Juni 2012 10:39

Jika tidak dikendalikan dan dicegah dengan sungguh-sungguh,

infeksi bisa mengakibatkan kesakitan dan kematian. Orang-orang yang berada di lingkungan
rumah sakit seperti pasien, petugas kesehatan, penunggu / pengunjung juga sangat berisiko
terinfeksi. Penderita yang sedang dalam proses asuhan perawatan di rumah sakit, baik dengan
penyakit dasar tunggal maupun penderita dengan penyakit dasar lebih dari satu, secara umum
keadaan umumnya tidak/kurang baik, sehingga daya tahan tubuh menurun. Hal ini akan
mempermudah terjadinya infeksi silang karena kuman-kuman, virus dan sebagainya akan masuk
ke dalam tubuh penderita yang sedang dalam proses asuhan keperawatan dengan mudah. Infeksi
yang terjadi pada setiap penderita yang sedang dalam proses asuhan keperawatan ini disebut
infeksi nosokomial. Resiko infeksi di rumah sakit atau yang biasa dikenal dengan infeksi
nosokomial merupakan masalah penting di seluruh dunia. Infeksi ini terus meningkat dari 1% di
beberapa Negara Eropa dan Amerika, sampai lebih dari 40% di Asia, Amerika Latin dan Afrika.
Penyakit infeksi masih merupakan penyebab utama tingginya angka kesakitan dan kematian di
dunia. Salah satu jenis infeksi adalah infeksi nosokomial. Infeksi ini menyebabkan 1,4 juta
kematian setiap hari di seluruh dunia. Saat ini infeksi nosokomial lebih dikenal sebagai Healthcare Associated Infections (HAIs).
Untuk itu Rumah Sakit perlu menyusun program pencegahan dan pengendalian infeksi .
Pelaksanaan program Pencegahan dan Pengendalian Infeksi (PPI), sendiri merupakan salah satu
bentuk dari program patient safety (keselamatan pasien).

Pelaksanaan peningkatan program PPI saat ini memiliki tantangan di masa mendatang. Jumlah
rumah sakit dan fasilitas yankes sangat banyak dan terus bertambah, serta keterbatasan sumber
daya manusia yang terampil di bidang HAIs. Untuk itu, perlu pelatihanpelatihan agar didapat
tenaga kesehatan yang profesional dan terampil.
Tujuan dari Program PPI adalah untuk meningkatkan kualitas pelayanan rumah sakit dan fasilitas
kesehatan lainnya melalui pencegahan dan pengendalian infeksi; Melindungi sumber daya
manusia kesehatan dan masyarakat dari penyakit infeksi yang berbahaya; serta menurunkan
angka kejadian Infeksi Nosokomial. Ruang lingkup dari program PPI meliputi Pencegahan
Infeksi, Pendidikan dan Pelatihan, Surveilans, dan Penggunaan Obat Antibiotik secara Rasional.
Dalam Kepmenkes no. 129 tahun 2008 ditetapkan suatu standar minimal pelayanan rumah sakit,
termasuk didalamnya pelaporan kasus infeksi nosokomial untuk melihat sejauh mana rumah
sakit melakukan pengendalian terhadap infeksi ini. Data infeksi nosokomial dari surveilans
infeksi nosokomial di setiap rumah sakit dapat digunakan sebagai acuan pencegahan infeksi guna
meningkatkan pelayanan medis bagi pasien (Kepmenkes, 2008).
Tim PPI dulu diawali dengan nama panitia infeksi nosokomial dengan keanggotaan dokter,
perawat, bagian CSSD, Sanitasi & limbah dan bagian Linen. Sasaran / target inos saat itu
meliputi pasien, petugas dan lingkungan RS. Pasien dibedakan menjadi pasien infeksius dan non
infeksius. Petugas menganggap sumber infeksi dari pasien. Tahun 2007 panitia infeksi
nosokomial berubah nama menjadi Tim Pencegahan dan Pengendalian Infeksi (Tim PPI), dengan
sasaran target lebih luas meliputi pasien, petugas, lingkungan RS & di sekitar RS, pengunjung
RS, praktikan / Mahasiswa dan masyarakat di sekitar RS. Kebijakan Tim PPI tidak
mengkategorikan pasien infeksius dan non infeksius, tetapi semua pasien dianggap infeksius,
sehingga saat menangani/ melakukan tindakan prosedur ke semua pasien, petugas diharuskan
memakai APD ( Alat Pelindung Diri).
Tim PPI RS PKU Muhammadiyah Yogyakarta terdiri dari KPPI (Ka Komite Pencegahan &
Pengendalian Infeksi) dpimpin oleh dr. Moh. Wibowo, SpPD, Ka Tim PPI / IPCO ( Infection
Prevention and Control Officer) adalah dr. Imam Masduki, SpM. , MSc. , di bawahnya IPCN
(Infection Preventif and Control Nurse) Arifiana, Skep. Ns dan IPCLN (Infection preventif and
Control Link Nurse) yang dipimpin oleh supervisor di unit keperawatan. Anggota tim PPI yang
lain adalah unit CSSD, Linen, Limbah & sanitasi.
Komite Pencegahan dan Pengendalian Infeksi (KPPI) bertugas membuat dan mengevaluasi
kebijakan Pencegahan dan Pengendalian Infeksi (PPI), melaksanakan sosialisasi kebijakan
PPIRS, membuat SPO, menyusun serta mengevaluasi pelaksanaan program & pelatihan PPI,
bekerjasama dengan Tim PPI dalam melakukan investigasi masalah atau Kejadian Luar Biasa
(KLB) Infeksi Nosokomial, memberikan usulan untuk mengembangkan dan meningkatkan cara
Pencegahan dan Pengendalian Infeksi, memberikan usulan kepada Direktur untuk pemakaian
antibiotika yang rasional di RS berdasarkan hasil pantauan kuman dan resistensinya terhadap
antibiotika serta menyebar luaskan data resistensi antibiotika, memberikan masukan yang
menyangkut Konstuksi Bangunan, Pengadaan Alat, Bahan Kesehatan, Renovasi Ruangan, cara
pemprosesan alat, penyimpanan alat dan linin sesuai dengan prinsip PPI.

Infection Prevention
Control Officer (IPCO) bertugas dalam berkontribusi dalam diagnosis dan terapi infeksi yang
benar, menyusun pedoman penulisan resep antibiotika dan surveilenss, mengindentifikasi,
melaporkan kuman patogen dan pola resistensi antibiotika, bekerjasama dengan Perawat PPI
memonitor kegiatan Surveilenss Infeksi dan mendeteksi serta menyelidiki KLB, membimbing
dan mengajarkan praktek serta prosedur PPI yang berhubungan dengan prosedur terapi,
memonitor cara kerja tenaga Kesehatan dalam merawat Pasien dan membantu semua Petugas
Kesehatan untuk memahami PPI.
Infection Prevention Control Nurse (IPCN) mempunyai tugas dan wewenang untuk mengunjungi
ruangan setiap hari untuk memonitor kejadian infeksi yang terjadi di RS, memonitor pelaksanaan
PPI, penerapan SOP dan kewaspadaan isolasi, melaksanakan Surveilenss Infeksi dan melaporkan
kepada KPPI, bersama KPPI melakukan Pelatihan Petugas Kesehatan tentang PPI di Rumah
Sakit, melakukan Investigasi terhadap KLB dan bersama-sama KPPI memperbaiki kesalahan
yang terjadi, memonitor kesehatan petugas untuk mencegah penularan infeksi dari petugas
kesehatan kepada pasien atau sebaliknya. menganjurkan prosedur isolasi dan memberi konsultasi
tentang PPI yang diperlukan pada kasus yang terjadi di RS, audit PPI terhadap Limbah, Loundry,
Gizi dan lain-lain dengan menggunakan daftar titik, monitor pengendalian penggunaan
antibiotika yang rasional, mendesain, melaksanakan, memonitor dan mengevaluasi surveilenss
infeksi yang terjadi di Rumah Sakit, membuat laporan Surveilenss dan melaporkan ke KPPI,
memberikan motivasi dan teguran tentang pelaksanaan kepatuhan PPI, meningkatkan kesadaran
Pasien dan pengunjung Runah Sakit tentang PPIRS, memprakarsai penyuluhan bagi petugas
kesehatan, Pengunjung dan keluarga tentang topik infeksi yang sedang berkembang di
masyarakat (infeksi dengan insiden tinggi).

Infection Prevention Control Link Nurse (IPCLN) bertugas mengisi dan mengumpulkan formulir
Surveilenss setiap pasien di Unit Rawat Inap masing-masing, kemudian menyerahkannya kepada
Infection Prevention Control Nurse (IPCN), memberikan motivasi dan teguran tentang
pelaksanaan kepatuhan PPI pada setiap personil Ruangan di Unit Rawat masing-masing,
memberitahukan kepada IPCN apabila ada kecurigaan adanya Infeksi Nosokomial pada Pasien,
berkoordinasi IPCN saat terjadi infeksi potensial KLB, memberikan penyuluhan bagi
pengunjung di Ruang Rawat masing-masing, konsultasi prosedur yang harus dijalankan bila
belum paham, memonitor kepatuhan Petugas Kesehatan yang lain dalam menjalankan Standart
Isolasi.
Kegiatan yang telah dilaksanakan PPI RS PKU Muhammadiyah Yogyakarta meliputi gerakan
cuci tangan ke seluruh pengunjung rumah sakit (indoor) dan ke masyarakat sekitar rumah sakit
(outdoor) mulai dari depan istana negara, Jl. KHA Dahlan sampai Jl. Bayangkara dengan target
sasaran tukang sapu jalanan, tukang becak, pedagang kaki lima, tukang parkir. Selain itu tim PPI
mengadakan pelatihan in house untuk petugas medis, non medis dan cleaning service secara
berkelanjutan. Kegiatan surveilen rutin dilakukan setiap hari di semua ruangan keperawatan pada
semua pasien rawat inap. Surveilen ini dilakukan oleh IPCN dan IPCLN / supervisor di ruangan.
Hasil surveilen mendapatkan data angka infeksi selama triwulan kemudian untuk selanjutnya
dilaporkan ke direktur utama dan unit yang bersangkutan. Rumah sakit dikatakan mutu
pelayanannya bagus bila angka infeksinya sedikit.
Hasil surveilance Tim PPI selama triwulan bulan Maret, April dan Mei tahun 2012 ditemukan
angka kepatuhan Hand Hygiene dengan nilai 73 ( < 75 = Kepatuhan Minimal ). Hand Hygiene
meliputi Handwash (mencuci dengan sabun + air mengalir) dan Handrub (mencuci dengan cairan
berbasis alkohol ). Kegiatan ini perlu mendapatkan dukungan banyak dari manajemen dan
seluruh karyawan, dengan sarana dan prasarana cairan handrub yang mudah terjangkau petugas.
Motivasi bagi petugas untuk melakukan hand hygiene (cuci tangan) sebelum melakukan
tindakan masih perlu ditingkatkan. (Arifiana-tim PPI).